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Journal Title: پاييز 86
Article title: Posterior Pericardiotomy in 319 Cases of Coronary Artery Bypass Grafting
Article PDF File:
Page From: 49 To: 57
Article abstract: Introduction & Objective: After cardiac surgery, pericardial effusion occurs in up to 80% of cases,1 it is maximized in size at 10th days after operation.2 Then after it gradually reduces in size. Tamponad occurred in 1% of these patients.1,3 The goal of this study is to reduce the incidence of pericardial effusion after CABG and decreasing mortality and morbidity with posterior pericardiotomy.
Materials & Methods: This study was performed in 319 patients undergoing coronary bypass grafting in Shariati Hospital between April 1998 and March 1999. Pericardial effusion in two groups (patients with posterior pericardiotomy or without posterior pericardiotomy) were analyzed and evaluated in these patients.
Results: In 31.6% of the patients on the 7th postoperative day, pleural effusion was seen. Posterior pericardiotomy significantly reduced pericardial effusion 7th postoperative days (7.4% in patients with posterior pericardiotomy group and 48.1% in patients without posterior pericardiotomy group (with P-value=0.0001). Posterior pericardiotomy affected and reduced pericardial effusion. Pericardial drainage (pericardial window) only was needed for patients without posterior pericardiotomy (in 4 cases or in 2.5%) (With P-value 0.048).
Conclusions: This study shows the better outcome of posterior pericardiotomy. In patients undergoing CABG, if either of the pleural spaces is opened, we recommend posterior pericardiotomy be performed for them.
Article KeyWords: Pericardial Effusion, Posterior Pericardiotomy, Cardiac Tamponad, Incision in Posterior Pericardium, CABG
Article Authors:
| دكتر علي صادقپورطبائي | First Author | Alisadeghpour@Yahoo.com | | دكتر محمدحسين ماندگار | Other Author | | | دكتر جلال واحديان | Other Author | | | دكتر اميرحسين صادقپورطبائي | Other Author | | | دكتر سهيلا عارفي | Other Author | |
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